Doctor Name: | SYBIL MATHAI ALEX |
NPI Number: | 1104947134 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CCC-SLP |
License Number: | 1460006841 |
Business Practice Address: | 460 Coventry Cir Glendale Heights, IL - 601394517 |
Business Phone Number: | 6304080603 |
Business Fax Number: | 6305478510 |
Mailing Address: | 460 Coventry Cir, GLENDALE HEIGHTS |
State: | IL |
Postal Code: | 601394517 |
Phone Number: | 6304080603 |
Fax Number: | 6305478510 |
NPI Enumeration Date: | 04/03/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 1460006841 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |